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Clinical Definition: Taking 5+ drugs

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Beers Criteria

STOP-START Criteria

Prescribing Cascade

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Classic Example:

• Amlodipine (pedal edema) → Diuretics
• Ibuprofen (Advil) → Anti-cholinergic and PPI (”-prazole”) </aside>

Treatment Decision based on life expectancy

• Consider Frailty → How tightly are you controlling the risk factors (e.g. BP, BG control) and how aggressively are you treating the disease?

Common Mistakes

Cases

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